Provider Demographics
NPI:1447399548
Name:FEARING, DENNIS B (MPT)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:B
Last Name:FEARING
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7119 E SHEA BLVD
Mailing Address - Street 2:#586
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6107
Mailing Address - Country:US
Mailing Address - Phone:602-430-7579
Mailing Address - Fax:
Practice Address - Street 1:7119 E SHEA BLVD
Practice Address - Street 2:#586
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6107
Practice Address - Country:US
Practice Address - Phone:602-430-7579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2569225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist